Organization
SISKIYOU COMMUNITY HEALTH CENTER INC
Active
Parent organization
SISKIYOU COMMUNITY HEALTH CENTER INC
Other names
North Valley High School SBHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISKIYOU COMMUNITY HEALTH CENTER INC
Authorized official
ERIC VAN HOUTEN MSW, MBA (CEO)
(541) 472-4777
Entity
Organization
Contact information
Practice address
6741 MONUMENT DR, GRANTS PASS, OR 97526-8536
(541) 472-4777
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127725
—
OR
Enumeration date
10/25/2021
Last updated
06/30/2026
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